Application for Degree / Certificate

Application for Degree / Certificate
This form should be completed at least one semester prior to the student's anticipated completion date. The Application for Degree/Certificate needs to be completed regardless of commencement ceremony participation.
Semester You Plan to Complete Requirements*

FallSpringSummer
Year (i.e. 2023, 2024, 2025)*
Full Name to Be Printed on Diploma*
Student A Number*
Cell Phone Number*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Diplomas are mailed to the address listed on this application approximately 4-6 weeks after the end of the semester that the student meets degree/certificate requirements.
Personal Email*
example@example.com
Type of Award*

Associate in Science (AS) DegreeAssociate in Applied Science (AAS) DegreeLong Certificate (CERT)Short Certificate (STC)
Major/ Pathway/ Program of Study*
Student must submit a separate application for each award to be completed.
Student Signature*

Clear
Date*

MonthDayYear
Date
It is the policy of the Alabama Community College System and Snead State Community College, a postsecondary institution under its control, that no person shall, on the grounds of race, color, disability, sex, religion, creed, national origin, or age, be excluded from participation in, be denied benefit of, or be subjected to discrimination under any program, activity, or employment.
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